ASC22 Combined With Peg-IFNa in Achieving Functional Cure in Patients With Chronic Hepatitis B Virus Infection

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-70
SponsorThe Second Affiliated Hospital of Chongqing Medical University

About this trial

Exploring the safety and efficacy of the therapy combining immune checkpoint inhibitors (anti-PD-L1 monoclonal antibody, ASC22) and pegylated interferon alfa (Peg-IFNα) in patients with CHB. Exploring new combination therapeutic schemes for hepatitis B cure, and raising the overall clinical cure rate to more than 50% without screening specific advantageous groups.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Body mass index (BMI) of 18 to 32 kg/m²;

Serum HBsAg<100 IU/mL;

HBV DNA<20 IU/mL;

HBeAg-negative.

Disqualifiers

A history of allergy, or who are suspected by the researcher to be allergic to the active ingredient of the drug under study or its excipients;

Use of immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before enrollment, or vaccination of live attenuated vaccine within 1 month before enrollment;

Acute infection within 2 weeks before enrollment which requires intravenous antibiotic treatment, or existing infection which requires anti-infection treatment when enrollment;

Confirmed or suspected decompensated cirrhosis;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Anti-PD-L1 antibody (ASC22)

    Drug

    Once two weeks, 1mg/kg, subcutaneous injection

  • Nucleotide analogs

    Drug

    Once/day, 1 capsule/time, oral

  • Peg-IFNα

    Drug

    Once/week, 180μg/time, subcutaneous injection

Treatment groups

150 Participants
are divided into 5 treatment groups
Group A: Cohort 1Experimental treatment 2 interventions
Group B: Cohort 2Experimental treatment 3 interventions
Group C: Cohort 3Experimental treatment 3 interventions
Group D: Cohort 4Experimental treatment 2 interventions
Group E: Cohort 5Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Serum Hepatitis B surface antigen (HBsAg) level

Serum HBsAg level

Time frame
Baseline
2

Serum HBsAg

Serum HBsAg level

Time frame
24 weeks after the treatment
3

Serum HBsAg

Serum HBsAg level

Time frame
48 weeks after the treatment
4

Serum HBsAg

Serum HBsAg level

Time frame
24 weeks after the end of treatment

Secondary outcomes

Other outcomes

1

Other HBV markers: Hepatitis B surface antibody (HBsAb), Hepatitis B e antigen (HBeAg), Hepatitis B e antibody (HBeAb), and Hepatitis B core antibody (HBcAb).

Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Time frame
Baseline
2

Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Time frame
24 weeks after the treatment
3

Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Time frame
48 weeks after the treatment
4

Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

Time frame
24 weeks after the end of treatment

Sponsors and contacts

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The Second Affiliated Hospital of Chongqing Medical University

Lead sponsor

First Affiliated Hospital of Chongqing Medical University

Collaborator

Three Gorges Hospital of Chongqing University

Collaborator

Guizhou Provincial People's Hospital

Collaborator